CT下曲骨穴深刺至前列腺的深度和角度影响因素探讨  

CT Exploration of the Factors Influencing the Depth and Angle of Acupuncture Needle Insertion from Point Qugu to the Prostate

作　　者：李宝赢 汤翰 孟玉莲 任华[1] 付建华[1] 陆永辉[1] LI baoying;TANG Han;MENG Yulian;REN Hua;FU Jianhua;LU Yonghui(China Academy of Chinese Medical Sciences Xiyuan Hospital,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091

出　　处：《上海针灸杂志》2022年第7期732-736,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京市科学技术委员会“首都临床诊疗技术研究及示范应用”基金项目(Z191100006619055)。

摘　　要：目的通过CT定位测量曲骨穴深刺至前列腺的深度和角度,探讨臀围、体质量指数、腰围、两侧髂前上棘间距离、前列腺体积、膀胱残余尿量对针刺深度和角度的影响。方法将33例良性前列腺增生患者纳入研究,测算患者的臀围、体质量指数、腰围、两侧髂前上棘间距离、前列腺体积、膀胱残余尿量,以及CT定位下曲骨穴深刺至前列腺的深度和角度。采用多元线性回归分析并比较结果,筛选关于针刺深度和角度拟合效果最好的多元线性回归方程及影响因素。结果15组针刺深度的多元线性回归方程中拟合效果最好的是,针刺深度(Depth,cm)=0.143×体质量指数+0.104×臀围+0.009×前列腺体积-0.012×膀胱残余尿量-4.693,方程具有统计学意义(F=0.531,P<0.05);30组针刺角度的多元线性回归方程中拟合效果最好的是,针刺角度(Angle,°)=50.077-0.327×臀围-0.054×前列腺体积,方程具有统计学意义(F=5.030,P<0.05)。结论针刺深度和体质量指数、臀围、前列腺体积、膀胱残余尿量有关,针刺角度和臀围、前列腺体积有关。臀围对针刺深度和角度影响最大。Objective To explore the effects of hip circumference,body mass index,waist circumference,interspinal diameter,prostate volume and residual urine volume on needling depth and angle by CT location and measurement of the depth and angle of acupuncture needle insertion from point Qugu to the prostate.Method Thirty-three patients with benign prostate hyperplasia were enrolled.Hip circumference,body mass index,waist circumference,interspinal diameter,prostate volume and residual urine volume were measured and the depth and angle of acupuncture needle insertion from point Qugu to the prostate were determined by CT location in the patients.The results were analyzed and compared by multiple linear regressions.Multiple linear regression equation that had a best fitting effect on the depth and angle of acupuncture needle insertion and the influencing factors were sifted out.Result Of 15 multiple linear regression equations for needling depth,the best one is:needle insertion depth(cm)=0.143×body mass index+0.104×hip circumference+0.009×prostate volume﹣0.012×residual urine volume﹣4.693,which had statistical significance(F=0.531,P<0.05).Of 30 multiple linear regression equations for needling angle,the best one is:needle insertion angle(°)=50.077﹣0.327×hip circumference﹣0.054×prostate volume,which had statistical significance(F=0.531,P<0.05).Conclusion Needle insertion depth is related to body mass index,hip circumference,prostate volume and residual urine volume.Hip circumference influences the depth and angle of acupuncture needle insertion to the greatest extent.

关 键 词：针刺疗法 前列腺增生 穴 曲骨 多元线性回归分析 针刺深度 针刺角度 

分 类 号：R246.1[医药卫生—针灸推拿学]